Paramedical Sciences and Military Health

fa تاثیر استرس شغل نظامیگری بر سن ابتلا به بیماریهای قلبی عروقی The Effect of Military Occupational Stress on the Age Incidence of Cardiovascular Diseases مقالات کامل full articles پژوهشي Research مقدمه: بیماریهای قلبی عروقی از شایعترین بیماریهای جوامع بشری است که با مرگ و میر فراوان همراه است. استرس در ایجاد بیشتر بیماریها نقش دارد. استرس شغلی یک ریسک فاکتور بیماری های قلبی بوده و میزان ابتلا به بیماریهای کرونر قلب را افزایش می دهد. شغل نظامی گری یک شغل پراسترس میباشد. سن بروز بیماری عروق کرونر قلب در افراد نظامی و غیرنظامی در این تحقیق مقایسه شده است. مواد و رو شها: در این مطالعه، تعداد 3860 نفر از بیماران نظامی (فقط مرد) و غیرنظامی (مرد و زن) مورد بررسی قرار گرفتند که طی مدت 7سال در یکی از بیمارستان های نظامی شهر تهران به علت سکته قلبی تحت عمل جراحی پیوند عروق کرونر قرار گرفته اند. فاکتورهای سن، وزن، قد و شاخص توده بدنی در تعدادی از بیماران نظامی و غیرنظامی (مرد و زن) که به علت سکته قلبی تحت عمل جراحی پیوند عروق کرونر قرار گرفته اند مقایسه شده است. نتایج: نتایج مطالعه نشان داد که میانگین سن ابتلا به بیماری عروق کرونر در میان نظامیان نسبت به غیرنظامیان پایین، میانگین وزن بالا و میانگین شاخص توده بدنی پایین میباشد. بحث و نتیجه گیری: به نظر می رسد استرس شغلی در نظامیان باعث افزایش بیماری های عروق کرونر قلب می شود. References <a name="_ENREF_1">1. Bortkiewicz A, et al. Work-related risk factors of myocardial infarction. Int J Occup Med Environ Health 2010; 23(3): 255-65</a>. <a name="_ENREF_2">2. Jeon W, Lee H, Cho J. Analysis of Job Stress, Psychosocial Stress and Fatigue among Korean Police Officers</a>. Iran J Public Health 2014;43(5):687-8. <a name="_ENREF_3">3. Consoli SM. Occupational stress and myocardial infarction. Presse Med 2015</a>. <a name="_ENREF_4">4. Chandola T, et al. Work stress and coronary heart disease: what are the mechanisms? Eur Heart J  2008; 29(5):640-8</a>. <a name="_ENREF_5">5. Kunz-Ebrecht SR,  Kirschbaum C, Steptoe A. Work stress, socioeconomic status and neuroendocrine activation over the working day. Soc Sci Med 2004;58(8):1523-30</a>. <a name="_ENREF_6">6. Vrijkotte TG, Van Doornen LJ,  de Geus EJ. Effects of work stress on ambulatory blood pressure, heart rate, and heart rate variability. Hypertension 2000;35(4):880-6</a>. <a name="_ENREF_7">7. Theorell T. Stress at work and risk of myocardial infarction. Postgrad Med J 1986;62(730):791-5</a>. <a name="_ENREF_8">8. Lee T. The Most and Least Stressful Jobs of 2014. THE WALL STREET JOURNAL 2014</a>. <a name="_ENREF_9">9. Kivimäki M, Kawachi I. Work Stress as a Risk Factor for Cardiovascular Disease. Curr Cardiol Rep 2015;17(14):1-9</a>. <a name="_ENREF_10">10. Kensing K. The 10 Most Stressful Jobs of 2013. Available at: </a><a href="http://www.careercast.com/">www.careercast.com</a> <a name="_ENREF_11">11. Heo YS, et al.  Job stress as a risk factor for absences among manual workers: a 12-month follow-up study. Ind Health 2015</a>. <a name="_ENREF_12">12. Kang MG, et al. Job stress and cardiovascular risk factors in male workers. Prev Med 2005;40(5):583-8</a>. <a name="_ENREF_13">13. Barry AE, Whiteman SD, MacDermid Wadsworth SM. Implications of posttraumatic stress among military-affiliated and civilian students. J Am Coll Health 2012;60(8):562-73</a>. <a name="_ENREF_14">14. Everson-Rose  SA,  Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev Public Health 2005;26: 469-500</a>. <a name="_ENREF_15">15. Despres JP. Obesity and cardiovascular disease: weight loss is not the only target. Can J Cardiol  2015;31(2):216-22</a>. <a name="_ENREF_16">16. Jokinen E. Obesity and cardiovascular disease. Minerva Pediatr 2015;67(1): 25-32</a>. <a name="_ENREF_17">17. Seimon RV, et al. Changes in body weight and pulse: outcome events in overweight and obese subjects with cardiovascular disease in the SCOUT trial. Int J Obes (Lond) 2015;39(5):849-57</a>. <a name="_ENREF_18">18. Li S, et al. BMI and waist circumference are associated with impaired glucose metabolism and type 2 diabetes in normal weight Chinese adults. J Diabetes Complications 2014;28(4):470-6</a>. <a name="_ENREF_19">19. Corrada MM, Paganini-Hill A. Being overweight in adults aged 70-75</a> is associated with a reduction in mortality risk compared with normal BMI. Evid Based Med 2010;15(4):126-7. <a name="_ENREF_20">20. Gomez-Ambrosi J, et al. Body adiposity and type 2 diabetes: increased risk with a high body fat percentage even having a normal BMI</a>.  Obesity (Silver Spring) 2011;19(7):1439-44. Introduction: Cardiovascular diseases are the most common diseases among human society associated with high mortality. Stress plays a significant role in many diseases. Occupational stress is a risk factor of heart disease and increases the prevalence of coronary heart disease. Military personnel have a stressful job compared to other common jobs. In the current study, the incidence of coronary heart disease have been studied and compared between military and nonmilitary personnel. Methods and Materials: Data of 3860 military and nonmilitary patients who underwent coronary bypass graft surgery (CBGS) during 7 past years in the military hospitals were collected and analyzed. Several factors such as age, weight, height, and body mass index were compared between both groups. Results: The results indicated that the average age of coronary heart disease involvement was significantly lower in military than nonmilitary patients. Moreover, the military average weight was significantly higher and average body mass index was lower comparing nonmilitary patients. Discussion and Conclusion: It seems that military occupational stress increase coronary heart disease. References <a name="_ENREF_1" style="background-position-x: right; padding-right: 18px;">1. Bortkiewicz A, et al. Work-related risk factors of myocardial infarction. Int J Occup Med Environ Health 2010; 23(3): 255-65</a>. <a name="_ENREF_2" style="background-position-x: right; padding-right: 18px;">2. Jeon W, Lee H, Cho J. Analysis of Job Stress, Psychosocial Stress and Fatigue among Korean Police Officers</a>. Iran J Public Health 2014;43(5):687-8. <a name="_ENREF_3" style="background-position-x: right; padding-right: 18px;">3. Consoli SM. Occupational stress and myocardial infarction. Presse Med 2015</a>. <a name="_ENREF_4" style="background-position-x: right; padding-right: 18px;">4. Chandola T, et al. Work stress and coronary heart disease: what are the mechanisms? Eur Heart J  2008; 29(5):640-8</a>. <a name="_ENREF_5" style="background-position-x: right; padding-right: 18px;">5. Kunz-Ebrecht SR,  Kirschbaum C, Steptoe A. Work stress, socioeconomic status and neuroendocrine activation over the working day. Soc Sci Med 2004;58(8):1523-30</a>. <a name="_ENREF_6" style="background-position-x: right; padding-right: 18px;">6. Vrijkotte TG, Van Doornen LJ,  de Geus EJ. Effects of work stress on ambulatory blood pressure, heart rate, and heart rate variability. Hypertension 2000;35(4):880-6</a>. <a name="_ENREF_7" style="background-position-x: right; padding-right: 18px;">7. Theorell T. Stress at work and risk of myocardial infarction. Postgrad Med J 1986;62(730):791-5</a>. <a name="_ENREF_8" style="background-position-x: right; padding-right: 18px;">8. Lee T. The Most and Least Stressful Jobs of 2014. THE WALL STREET JOURNAL 2014</a>. <a name="_ENREF_9" style="background-position-x: right; padding-right: 18px;">9. Kivimäki M, Kawachi I. Work Stress as a Risk Factor for Cardiovascular Disease. Curr Cardiol Rep 2015;17(14):1-9</a>. <a name="_ENREF_10" style="background-position-x: right; padding-right: 18px;">10. Kensing K. The 10 Most Stressful Jobs of 2013. Available at: </a><a href="http://www.careercast.com/">www.careercast.com</a> <a name="_ENREF_11" style="background-position-x: right; padding-right: 18px;">11. Heo YS, et al.  Job stress as a risk factor for absences among manual workers: a 12-month follow-up study. Ind Health 2015</a>. <a name="_ENREF_12" style="background-position-x: right; padding-right: 18px;">12. Kang MG, et al. Job stress and cardiovascular risk factors in male workers. Prev Med 2005;40(5):583-8</a>. <a name="_ENREF_13" style="background-position-x: right; padding-right: 18px;">13. Barry AE, Whiteman SD, MacDermid Wadsworth SM. Implications of posttraumatic stress among military-affiliated and civilian students. J Am Coll Health 2012;60(8):562-73</a>. <a name="_ENREF_14" style="background-position-x: right; padding-right: 18px;">14. Everson-Rose  SA,  Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev Public Health 2005;26: 469-500</a>. <a name="_ENREF_15" style="background-position-x: right; padding-right: 18px;">15. Despres JP. Obesity and cardiovascular disease: weight loss is not the only target. Can J Cardiol  2015;31(2):216-22</a>. <a name="_ENREF_16" style="background-position-x: right; padding-right: 18px;">16. Jokinen E. Obesity and cardiovascular disease. Minerva Pediatr 2015;67(1): 25-32</a>. <a name="_ENREF_17" style="background-position-x: right; padding-right: 18px;">17. Seimon RV, et al. Changes in body weight and pulse: outcome events in overweight and obese subjects with cardiovascular disease in the SCOUT trial. Int J Obes (Lond) 2015;39(5):849-57</a>. <a name="_ENREF_18" style="background-position-x: right; padding-right: 18px;">18. Li S, et al. BMI and waist circumference are associated with impaired glucose metabolism and type 2 diabetes in normal weight Chinese adults. J Diabetes Complications 2014;28(4):470-6</a>. <a name="_ENREF_19" style="background-position-x: right; padding-right: 18px;">19. Corrada MM, Paganini-Hill A. Being overweight in adults aged 70-75</a> is associated with a reduction in mortality risk compared with normal BMI. Evid Based Med 2010;15(4):126-7. <a name="_ENREF_20" style="background-position-x: right; padding-right: 18px;">20. Gomez-Ambrosi J, et al. Body adiposity and type 2 diabetes: increased risk with a high body fat percentage even having a normal BMI</a>.  Obesity (Silver Spring) 2011;19(7):1439-44. نظامیان, استرس شغلی, بیماری عروق کرونر Military personnel, Job stress, Coronary heart disease 7 11 http://jps.ajaums.ac.ir/browse.php?a_code=A-10-43-2&slc_lang=fa&sid=1 naser khodaee ataloo ناصر خدایی عطالو 1003194753284600331 1003194753284600331 Yes Department of Physiology, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran گروه فیزیولوژی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ارتش، تهران، ایران